Organization
FLORIDA KIDS THERAPY MEDLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UMER SIDDIQUI MSOT (OCCUPATIONAL THERAPY)
(786) 702-4663
Entity
Organization
Contact information
Practice address
7911 NW 72ND AVE STE 220, MEDLEY, FL 33166-2224
(786) 702-4663
(305) 767-1461
Mailing address
7261 S WATERWAY DR, MIAMI, FL 33155-2766
(786) 702-4663
(305) 767-1461
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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